5 years Experience of 5 years Experience of Training Courses on Training Courses on

Health Management for Health Management for Health Officers Health Officers

in Lao PDR in Lao PDR Yoshihisa WatanabeYoshihisa Watanabe, , TakaakiTakaaki KinoueKinoue

Research Center for International Health Development, Research Center for International Health Development, Tokai University Graduate School of Medicine, JapanTokai University Graduate School of Medicine, Japan

Debate, 1996Debate, 1996 Lecture, 1998Lecture, 1998 GroupWork,2002GroupWork,2002 Practice, 2007Practice, 2007

11stst CourseCourse 19961996 77 countriescountries participantsparticipantscountriescountries participantsparticipants

participantsparticipantsparticipantsparticipantsparticipantsparticipantsparticipantsparticipantsparticipantsparticipants

88thth CourseCourse 20032003 88 countriescountries 1414 participantsparticipants99thth CourseCourse 20042004 1313 countriescountries 1414 participantsparticipants

1010thth CourseCourse 20052005 99 countriescountries 1212 participantsparticipants1111thth CourseCourse 20062006 99 countriescountries 1212 participantsparticipants1212thth CourseCourse 20072007 1212 countriescountries 1313 ParticipantsParticipants

19961996--2007 Total2007 Total 2727 countriescountries 134134 participantsparticipants

countriescountriescountriescountriescountriescountriescountriescountriescountriescountries

CourseCourseCourseCourseCourseCourseCourseCourseCourseCourseCourseCourse

199719971313

66 881111

9988

10101010

6677889999

1998199819991999200020002001200120022002

22ndnd

33rdrd

44thth

55thth

66thth

77thth

Training Course for Health Futuristsby Tokai University in collaboration with WHO-WPRO, supported by JICATraining Course for Health FuturistsTraining Course for Health Futurists

by Tokai University in collaboration with WHOby Tokai University in collaboration with WHO--WPRO, supported by JICAWPRO, supported by JICA

Tokai Training Course Tokai Training Course Participants from Lao PDRParticipants from Lao PDR

1 1996 Dr. Khampiou Syhakhang2 1996

19961997199920002001200120032003200420052005200620062007

Dr. Somchanh Xaisida3 Dr. Bouathong Sisounthone4 Dr. Southsavienne Vilay5 Dr. Vinyanh Cheryansaijou6 Dr. Sonxay Phanyanouvong7 Dr.Boungnong Boupha8 Mr.Ounheuane

Latsabandith9 Dr. Souraxay Phrommala10 Dr. Somchit Akkhavong11 Dr. Amone Sirivong12 Mr.Sisavath Souttha

Niraxay13 Dr. Soulisack Mingboupha14 Dr. Amphone Phalammixay15 Dr. Panom Phongmany16 Mr.Viengxay Viravong

Dr. Khampiou(1996)

Dr. Boungnong(2001)

Dr. Souraxay(2003)

Dr. Somchit(2003)

Dr. Amone(2004)

Mr. Sisavath(2005)

Dr. Panom(2006)

Mr. Viengxay(2007)

Dr. Amphone(2006)

Expansion of Training CourseExpansion of Training CourseExpansion of Training Course

Tokai Training Course in Japan

5 weeksEvery Year

Tokai Training Course in Japan

5 weeksEvery Year

In-Country Training Course in Lao PDR

2-3 weeks2-3 times /year

In-Country Training Course in Lao PDR

2-3 weeks2-3 times /year

Post Graduate Course at Tokai

Univ.4 years Doctoral Course2 years Master Course

Post Graduate Course at Tokai

Univ.4 years Doctoral Course2 years Master Course

In-Country Training CourseTraining Course on Health Management for Health

Managers, in Lao PDR

InIn--Country Training CourseCountry Training CourseTraining Course on Health Management for Health Training Course on Health Management for Health

Managers, in Lao PDRManagers, in Lao PDRNumber of ParticipantsNumber of Participants

Central LevelCentral Level 8585Provincial LevelProvincial Level 105105

161161351351

District LevelDistrict LevelTotalTotal

Main Course (2 weeks), DistrictMain Course (2 weeks), DistrictMain Course (2 weeks), DistrictMain Course (2 weeks), DistrictTraining of Trainers (1 week)Training of Trainers (1 week)FY2006FY2006Main Course (2 weeks), DistrictMain Course (2 weeks), DistrictMain Course (2 weeks), DistrictMain Course (2 weeks), District

Main Course (2 weeks), DistrictMain Course (2 weeks), DistrictTraining of Trainers (1 week)Training of Trainers (1 week)

Main Course (3 weeks), CentralMain Course (3 weeks), Central

FY2005FY2005

Main Course (3 weeks), CentralMain Course (3 weeks), CentralFY2004FY2004

Training of Trainers (1 week)Training of Trainers (1 week)

Training of Trainers (1 week)Training of Trainers (1 week)Main Course (3 weeks), CentralMain Course (3 weeks), Central

FY2003FY2003FY2002FY2002

Prof. Dr. BoungnongDirector of National Institute of Public

Health

Prof. Dr. BoungnongDirector of National Institute of Public

HealthDr. Ponmek

Minister of HealthDr. Ponmek

Minister of HealthDr. Somchai

FPH, Mahidol Univ.Dr. Somchai

FPH, Mahidol Univ.Dr. Kinoue

Tokai UniversityDr. Kinoue

Tokai University

Procedure of ICTC in Lao PDRProcedure of ICTC in Lao PDRProcedure of ICTC in Lao PDR01/ 2003

NIOPH, MOHDr. Kongsap Akkavong

NIOPH, MOHDr. Kongsap Akkavong

NIOPH, MOHDr. Somboune (Dean, School of

Public Health)

NIOPH, MOHDr. Somboune (Dean, School of

Public Health)

Tokai UniversityY. Watanabe

T. KinoueMahidol University

Dr. Somchai Durongdej

Tokai UniversityY. Watanabe

T. KinoueMahidol University

Dr. Somchai Durongdej

Secretariat MeetingSecretariat Meeting

NIOPH, MOHDr. Boungnong Boupha (2001)

Dr. Kongsap AkkavongDr. Somboune (Dean, School

of Public Health)JICA

Dr. Miyoshi (MOH Advisor)

NIOPH, MOHDr. Boungnong Boupha (2001)

Dr. Kongsap AkkavongDr. Somboune (Dean, School

of Public Health)JICA

Dr. Miyoshi (MOH Advisor)

Tokai UniversityY. Watanabe

T. KinoueMahidol University

Dr. Somchai Durongdej

Tokai UniversityY. Watanabe

T. KinoueMahidol University

Dr. Somchai Durongdej

MOHDr. Boungnong Boupha (2001)Dr. Somchanh Xaisida (1996)

JICADr. Miyoshi (MOH Advisor)

MOHDr. Boungnong Boupha (2001)Dr. Somchanh Xaisida (1996)

JICADr. Miyoshi (MOH Advisor)

Tokai UniversityY. Watanabe

T. Kinoue

Tokai UniversityY. Watanabe

T. Kinoue

1st Training CourseCentral, Provincial

Level

1st Training CourseCentral, Provincial

Level

Curriculum CommitteeCurriculum Committee

Textbook Lao VersionTextbook Lao Version

Glossary on Management Terminology

Glossary on Management Terminology

2nd Training CourseTOT (Training of

Trainers)

2nd Training CourseTOT (Training of

Trainers)

03/ 2003

03/ 2003

04-10/ 2003

11/ 2003

Difference of CoursesDifference of CoursesDifference of CoursesType of CourseType of Course DurationDuration TargetTarget ContentsContents

Training Course for Central &

Provincial Health

Managers

Training Course for Central &

Provincial Health

Managers

3 weeks3 weeks

Deputy Director & Manager of MOH,

Lecturer of University, College

Director & Deputy Director of Provincial

Health Department

Deputy Director & Manager of MOH,

Lecturer of University, College

Director & Deputy Director of Provincial

Health Department

Useful Knowledge as Health ManagersLesson Learn from ExperienceSome Practice to understand Technique

Useful Knowledge as Health ManagersLesson Learn from ExperienceSome Practice to understand Technique

Training Course for District

Health Managers

Training Course for District

Health Managers

2 weeks2 weeksDeputy Director & Director of District Health Department

Deputy Director & Director of District Health Department

Useful Technique and MethodologyPractice to utilize Technique and Method in Daily Work

Useful Technique and MethodologyPractice to utilize Technique and Method in Daily Work

TOT(Training of

Trainers)

TOT(Training of

Trainers)1 week1 week

Selected Participants from Ex-Training Courses (Central,

Provincial, District)

Selected Participants from Ex-Training Courses (Central,

Provincial, District)

Theory, Method, Formula which should be have as TrainerTeaching Method (How to Attract Trainee)

Theory, Method, Formula which should be have as TrainerTeaching Method (How to Attract Trainee)

Number of ParticipantsNumber of ParticipantsNumber of ParticipantsParticipantsParticipantsFYFY No.No. DateDate TypeType DurationDuration

(Week)(Week) CentralCentral ProvincialProvincial DistrictDistrict TotalTotal20022002 11 03/200303/2003 CPCP 33 1212 1818 -- 3030

22 11/200311/2003 TOTTOT 11 1212 77 -- 191933 01/200401/2004 CPCP 33 99 1414 1313 363644 07/200407/2004 TOTTOT 11 1313 1111 11 252555 10/200410/2004 CPCP 33 1010 1818 -- 282866 02/200502/2005 DD 22 22 11 3030 333377 07/200507/2005 TOTTOT 11 1111 1616 11 282888 12/200512/2005 DD 22 -- 88 2121 292999 02/200602/2006 DD 22 -- -- 2727 2727

1010 08/200608/2006 TOTTOT 11 1515 88 22 25251111 11/200611/2006 DD 22 11 44 3333 38381212 02/200702/2007 DD 22 -- -- 3333 3333

Total ParticipantsTotal Participants 2323 8585 105105 161161 351351Total OrganizationsTotal Organizations 1717 1818 127127 162162Person /OrganizationPerson /Organization 5.05.0 5.85.8 1.31.3 2.22.2

20062006

20052005

20042004

20032003

Program of ICTC in Lao PDRProgram of ICTC in Lao PDRProgram of ICTC in Lao PDR

Field StudyReportingPresentation

Health overview in Lao PDRHealth policy of MOHHealth problem in Lao PDR

1.Health Policy

2.Methodologies

DemographyEpidemiologyStrategic ManagementSituation AnalysisPriority settingOrganizing & StaffingLeadership Team Building, DirectingMonitoring & Evaluation

3.Case Study

WHO Activities in Lao PDRUNICEF Activities in Lao PDRJICA Activities in Lao PDRKIDS Smile ProjectHealth Project in MOHAIDS, EPI Project of MOHHIS of MOH

4.Field Study

Hospital ManagementStrategic InformationHealth Information SystemTQC/TQMHealth FinancingHealth ResearchProject Proposal Writing

1.Health Policy

2.Methodologies and Case Study

3.Field Study

Strategic Planning and ManagementLeadership and Team BuildingSituation AnalysisNeeds AssessmentSWOT AnalysisVision, Mission and GoalTQC/TQMHealth FinancingProject Monitoring and EvaluationDistrict Hospital ManagementHealth Research Management Tools

Health Policy towards Poverty AlleviationHuman Resource Development10 Minimum Requirements (10MR) for District Hospital

Field StudyReportingPresentation

1st Course (Central & Provincial) 3 weeks 12th Course (District) 2 weeks

Way of Training CourseWay of Training CourseWay of Training CourseCentral CourseCentral Course District CourseDistrict Course

LectureLecture

Group Discussion and Practice

Group Discussion and Practice

Group PresentationGroup Presentation

Field Study(Apply Learned Methodologies)

Field Study(Apply Learned Methodologies)

LectureLecture

Group Discussion and Practice

Group Discussion and Practice

Group PresentationGroup Presentation

Field Study(Apply Learned Methodologies)

Field Study(Apply Learned Methodologies)

Management of Management of Training CourseTraining CourseManagement is to Management is to Adapt Changing Adapt Changing Environment.Environment.Management is to take Management is to take Balance between Balance between Scarce Resource and Scarce Resource and Unlimited Needs.Unlimited Needs.

LecturesLectures

SWOT Analysis

Project Monitoring and Evaluation

TQC (Brain Storming/ KJ Method)

Situation Analysis

Key Lectures-Strategic Management

Key LecturesKey Lectures--Strategic ManagementStrategic Management

Internal Internal FactorFactor

External External FactorFactor

SSStrengthStrength

OOOpportunityOpportunity

WWWeaknessWeakness

TTThreatThreat

VisionMissionGoalTarget

VisionMissionGoalTarget

SWOT AnalysisBSC (Balanced Score Card)

SWOT AnalysisBSC (Balanced Score Card)

PracticeDistrict Health /District Hospital-SWOT Analysis-Set Vision, Mission, Goal and

Target

PracticeDistrict Health /District Hospital-SWOT Analysis-Set Vision, Mission, Goal and

Target

Key Lectures -AnalysisKey Lectures Key Lectures --AnalysisAnalysis

Situation AnalysisNeeds AssessmentTQC /TQM Method(Kaizen)- Brain Storming- KJ Method

Situation AnalysisNeeds AssessmentTQC /TQM Method(Kaizen)- Brain Storming- KJ Method

1) Brain Storming1) Brain Storming

2) KJ Method2) KJ Method3) Presentation3) Presentation

Why is Management important?Why is Management important?

Key Lectures-District Hospital Management

Key LecturesKey Lectures--District Hospital ManagementDistrict Hospital Management

Management vs. AdministrationMission StatementHospital AccreditationPatient SatisfactionStock ManagementFacility /Equipment ManagementFinancial Management

Management vs. AdministrationMission StatementHospital AccreditationPatient SatisfactionStock ManagementFacility /Equipment ManagementFinancial Management

Lose MoneyLose Money

Useless StockExpired Drugs

Lose MotivationLose Motivation

Lose OpportunityLose Opportunity

Field StudyField StudyField Study

Service Team

Service Team

Preventive Care – EPI, MCH, health educationCurative Care – Outpatient care,Inpatient Care, delivery, Emergency Care, Home CareHospital Services – Laboratory, Radiology, Pharmacy, Drug Revolving Fund, Kitchen, Facility Maintenance.

Preventive Care – EPI, MCH, health educationCurative Care – Outpatient care,Inpatient Care, delivery, Emergency Care, Home CareHospital Services – Laboratory, Radiology, Pharmacy, Drug Revolving Fund, Kitchen, Facility Maintenance.

Plan, Organization, Staff Allocation, Procedure, Record, Statistics, Report, Work Evaluation, Performance Evaluation, Quality Evaluation, Staff Education/ Training/ Promotion.(Effectiveness, Efficiency, Benefit)

Plan, Organization, Staff Allocation, Procedure, Record, Statistics, Report, Work Evaluation, Performance Evaluation, Quality Evaluation, Staff Education/ Training/ Promotion.(Effectiveness, Efficiency, Benefit)

Management Team

Management Team

Community Team

Community Team

Lifestyle (Consciousness on Education, Food safety, Nutrition, Hygiene, Smoking, Drinking)Health Care Needs (Consciousness on Health, Child health, Maternal health, Delivery, Immunization, HIV Contraceptive)Leadership and Activity on HealthPromotion (District Health Office, Health Center, Village Chief, Health Volunteer)Program and Participation (Provider, Facilitator, Villager)

Lifestyle (Consciousness on Education, Food safety, Nutrition, Hygiene, Smoking, Drinking)Health Care Needs (Consciousness on Health, Child health, Maternal health, Delivery, Immunization, HIV Contraceptive)Leadership and Activity on HealthPromotion (District Health Office, Health Center, Village Chief, Health Volunteer)Program and Participation (Provider, Facilitator, Villager)

Field Study -ReportField Study Field Study --ReportReportService TeamService Team Management TeamManagement Team Community TeamCommunity Team

TOT (Training Of Trainers)TOTTOT ((TTraining raining OOf f TTrainers)rainers)Detail Knowledge on LectureTrainer’s Skill

Effective communications skillsKnowledge ManagementHow to Manage PresentationHow to Evaluate Knowledge Transfer

Dry RunLecture SimulationPractice Instruction /Coordination

Detail Knowledge on LectureTrainer’s Skill

Effective communications skillsKnowledge ManagementHow to Manage PresentationHow to Evaluate Knowledge Transfer

Dry RunLecture SimulationPractice Instruction /Coordination

Structure of LecturersStructure of Lecturers12th Training

Course(02/2007)

Lao PDR10

52%Japan3

16%

Thailand3

16%

Others3

16%

Lao PDR7

78%

Japan2

22%Lao PDR

539%

Japan4

31%

Thailand4

31%

1st Training Course

(03/2003)

2nd Training Course

(02/2004)

ProposalProposalContinue Manager's CourseContinue Manager's Course

Newly appointed Managers (Central, Province)Newly appointed Managers (Central, Province)District ManagersDistrict Managers

Establish StaffEstablish Staff’’s Courses CourseSpecialty Course (Accountants, Administrators, Specialty Course (Accountants, Administrators, Clerks etc.)Clerks etc.)Hospital Management, Stock Management etc.Hospital Management, Stock Management etc.

Lecturers should be all LaotiansLecturers should be all LaotiansTOT graduatesTOT graduatesTOT by TOT GraduatesTOT by TOT Graduates

I hopeGood Health Management

for People’s Happy Life

I hopeI hopeGood Health Management Good Health Management

for Peoplefor People’’s Happy Lifes Happy Life

Thank You Very MuchThank You Very Much